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Individual

TRAVIS LOGAN EDDLEMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
3333 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 623-6992
Mailing address
3333 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 445-6386

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022807
LA

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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